Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,737.80	Facility		$676.08	$1,000.00	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $724.44	Professional		$436.52	$588.84	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $758.58 / $1,318.26	Facility		$660.69	$758.58	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $891.25	Professional		$229.09	$263.03	$891.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $10,000.00 / $41,686.94	Facility		$676.08	$10,000.00	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $11,220.18 / $19,952.62	Professional		$891.25	$11,220.18	$19,952.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,513.56	Facility		$467.74	$467.74	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $912.01	Professional		$575.44	$831.76	$912.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $741.31 / $2,951.21	Facility		$478.63	$741.31	$2,951.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,659.59	Professional		$616.60	$794.33	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $645.65 / $724.44	Facility		$257.04	$645.65	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $831.76	Professional		$302.00	$436.52	$831.76